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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY ROSE WAGGONER, QMHA

Active

MARY ROSE WAGGONER, QMHA is a Peer Specialist healthcare provider located in ROSEBURG, Oregon. NPI 1083979264 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · ROSEBURG, OR

Registration Details

NPI Number
1083979264
Provider Type
Individual
Gender
Female
NPI Issued
Jul 12, 2012 (14.06456518363 yrs)
Last Updated
Feb 14, 2022

Practice Information

Address
621 W MADRONE ST
ROSEBURG, OR, 974703090
Browse OR providers · Browse ZIP 97470
Phone
5414403532
Fax
5414403554
Primary Specialty
Peer Specialist
175T00000X
Additional Specialty
Community Health Worker
Additional Specialty
Peer Specialist

Other Peer Specialist Providers in ROSEBURG, OR

Name Credential NPI
MRS. ASHLEY Z MINAISE 1366828501
TERRY GOLDSWORTHY PEER SUPPORT 1376996140
VIYANNA LANGAGER 1477097681
ERICA RAMIREZ 1063984763
DAWNYA GUYETTE 1801368022
HALEIGH GALLEGO 1952867608
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.